Position applied for __________________________________________How did you hear of this opening? __________________________________________ When can you start? _____________________ Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.)  Yes  No Are you looking for full-time employment?  Yes  No If no, what hours are you available? ________________________________________What days are you available?  Sun  Mon  Weds  Thurs  Friday  SatAre you willing to work swing shift?  Yes  No Are you willing to work graveyard?  Yes  No Have you ever been convicted of a felony? (This will not necessarily affect your application.)  Yes  No If yes, please describe conditions. __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Education School Name and Location Year Major DegreeHigh School _______________________ ______ ______ ______College ___________________________ ______ ______ ______College ___________________________ ______ ______ ______Post-College _______________________ ______ ______ ______Other Training ______________________ ______ ______ ______In addition to your work history, are there other skills, qualifications, or experience that we should consider? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Employment History (Only applies if you worked for other servers)Server Name __________________________________________________________ Email Address _____________________________ Telephone _________________________Date Started ___________ Starting Position ________________Date Ended _____________ Ending Position ________________Name of Administrator/Email ____________________________________ May we contact?  Yes  NoResponsibilities ____________________________________________________________________________________________________________________Reason for leaving __________________________________________________________

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history. This company may require additional documentation to verify age, employment and/or educational experience.I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no supervisor, manager, or executive of this company, other than the president, has any authority to alter the foregoing.